Organization
GUARDIAN HOME ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUISA V GATUS (ADMINISTRATOR)
(407) 323-2545
Entity
Organization
Contact information
Practice address
431 E AIRPORT BLVD, SANFORD, FL 32773-5494
(407) 323-2545
(407) 323-2545
Mailing address
431 E AIRPORT BLVD, SANFORD, FL 32773-5494
(407) 323-2545
(407) 323-2545
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5629
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142664800
—
FL
05
—
688996400
—
FL
Enumeration date
12/06/2007
Last updated
02/26/2009
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